Individual
DR. KRISTIN LEE WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 QUALITY DR, HOOKSETT, NH 03106-2651
(207) 209-9389
Mailing address
100 QUALITY DR, HOOKSETT, NH 03106-2651
(207) 209-9389
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3964
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3964
NEW HAMPSHIRE PHARMACY LICENSE
NH
Enumeration date
07/15/2014
Last updated
07/15/2014
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